“NW 88326

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Assassination Records Review Board
Final Determination Notification

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AGENCY : HSCA
RECORD NUMBER : 180-10070-10161
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER : .

December 8, 1995
Status of Document: —_ Postponed in Part

Number of releases of previously postponed information: 7
Reason for Board Action: ‘The Review Board's decision was premised on several factors

‘including: (a) the significant historical interest in the document in question; (b) the

absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 6

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

Dochd:37244103 Page 1

. " | Date:08/20/93
a Page:1
JFK ASSASSINATION SYSTEM - |

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA
RECORD NUMBER : 180-10070-10161

RECORDS SERIES :
STAFF PAYROLL RECORDS

ORIGINATOR :
FROM :
, TO :

TITLE :

DATE : 08/01/77
PAGES : 7
SUBJECTS :
HSCA; ADMINISTRATION
SWENDSEN, LANCE W.

_ DOCUMENT TYPE : PRINTED FORM
! CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P
DATE OF LAST REVIEW : 07/16/93

OPENING CRITERIA :

: COMMENTS :
Box 3.
; (R] - ITEM IS RESTRICTED _
| NW 88326 .
Dechd:37244103 Page 2

PAYROLL AUTHORIZATION FORM a

(Please Use Typewriter C). U.S. HOUSE OF REPRESENTATIVES,
e “or Ballpoint Pen) _ Washington, D.C. 20515 |

(Any erasures, corrections, or changes
on this form must be initialed by the
’ authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) . Effective Date

Lance W. Svendsen 1/i/ 79

Employee Social Security Number Type of Action

2-28-4689 OC Appointment
. 20) Salary Adjustment
Employing Office or Committee/Subcommittee D Title Change

C1 Termination (At close of business on effective date)

4ssassinations C] Leave without pay (Beginning with effective date above and ending

close of business }

Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title Gross Annual Salary*

$13,790.80

* If emoloyee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.

(if Committee Employee, complete appropriate item below.)

i. O Standing Committee: Staff—Oi Clerical or oO Professional.

2. Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. ResvoG__offSth Congress.
3. 1 Joint Committee. .

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level

| certify that this authorization is not in violation of 5 US.C. 3110(b)}, prohibiting ‘the employment of
relatives. ;

(Signature of Authorizing Official)

LOULS SS0RES

{Type or print name of Authorizing Official}
CoATRMAN

(Type or print name and title of above official) (Title-!f Member, District and State)

mt are ee ee en ee ee ee ee ee ee ee ee ne eee

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration. . ,

APPROVED: ;

. Office of Finance use only:

Office Code... | ; Ranefite |

, (Revised: August 1, 1977)
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PAYROLL AUTHORIZATION FORM a . oo
(Please Use Typewriter {) U.S. HOUSE OF REPRESENTATIVES.) (Any erasures, corrections, or changes

i j i t initialed by th
or Ballpoint Pen) Washington, D.C. 20515 outhoriziog ofthe initialed by the

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

. Employee Name (First-Middie-Last)

__. Effective Date

Lance H, Svendsen

. Employee Social Security Number

December 1, 1978
_ ‘Type of Action

- 264-98-4680 C Appointment
: sO Salary Adjustment
CI Title Change
: / C Termination (At close of business on effective date)
Assassinations O Leave without pay (Beginning with effective date above and ending |

close of business...-._-.. --§_ --§ 9» )
Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title - Gross Annual Salary*

$18,100.00

* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office. ;

(If Committee Employee, complete appropriate item below.)

1. (J Standing Committee: Staff—O] Clerical or 1 Professional. —

3. OF Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives. a

pagina SUA Tea Me ee ae eee ee

wpe Le
{Signature of Authorizing Official)

LOUIS STOKES

(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member). Oe Type or print nome of Authorizing Official) =SStC*~<CS~S
° Chairman

ee rm a a eee me ae ee ee ee ee ee

. All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
.ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, mus
be approved by the Committee on House Administration. oo

APPROVED: .

Office of Finance use only: iD
| . Office Code ge:

. Bo fa.
. DCNcHIds ~ ee |

‘Monthly Annuity $ 00 as of

Copy for Initiating Office:or Committée © 88 a ee

(Revised: August 1, 1977) “

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| NW 88326 FO enn mp oo.
| Decld:32244103 Page 4 : ; ;

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|
i

PAYROLL AUTHORIZATION FORM.

(Please Use Typewriter C) U.S.. HOUSE OF REPRESENTATIVES : (Any erasures, corrections, or changes

i oy se j . “on this form must be initialed by the

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

__ Employee Name (First-Middle-Last)

Lanes Wo Svendsen

_ _ Employee Social Security Number

' Qeteber 1 > 1978 _
os Type of Action |
O Appointment a

264-98-4650 E

UO Salary Adjustment
Employing Office or Committee/Subcommittee

O Title Change
Assaseinations

O Termination (At close of business on effective date)

Co Leave without pay (Beginning with effective date above and ending

close of business___..= === )
: Specify Date

{If type of action is an Appointment, Salary. Adjustment, or Title Change, complete appropriate information below.) -

Position Title . Gross Annual Salary *

* If emoloyee is a civil service annuitant.(includes U.S. House of Representatives),.the gross annual salary shown should include-the annuity received by the employee
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. O Standing Committee: Staff—C] Clerical or 0) Professional.

— : a6
. 2. E) Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Rese” of 9 Congress.
3. O1 Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number____ If applicable, Level________ Step...

relatives. ee
October 10. 16
Dote. a ee ef ot
“ “ (Signature of Authorizing Official)
a LOUIS STORES
(if appropriate, signature of Subcommittee Chairman or Ranking Minority Member). ee Type or.print nome of Authorizing Oficial) =—=—SsSt*=~<CS*S~S
nn, (Type or print name and title of above official) === === = | ~~ ~~~ (fitleaif Member, Districhand Stowe)

rr a a i a a ae a a ee ee ee ee ew ee se ee ee

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-

ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees,-must-

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House. Administration

7 Office of Finance use only:

Office Code

Monthly Annuity $

{Revised: August 1, 1977}

ws orf

a Effective Date .

1 certify that this authorization is not in violation: of 5 -U.S.C. 3110(b), prohibiting the employment of -

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NW 88326 FO ee ae
rochd:32244103 Page 5 ‘

oT fyremntcy

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter: ~ OU. S. HOUSE OF. REPRESENTATIVES -r .{Any-erasures, corrections, or changes oe
or Ballpoint Pen) Washington, D.C. 20515 _ -on this form must ° initialed bythe

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

: wey ¢
Toe a ee

_Employee Name (First-Middle-Last) | Effective Date. _ | 4 |
| March 1, Lo7e
. Type of Action | - so

O Appointment oe a
=f Salary Adjustment . : oO

C] Title Change ot . ; , a 2 |

QO) Termination (At close of business on effective date)

CD Leave without pay.(Beginning with effective date above and ending
close of business

Specify Date

(If. type of..action isan Appointment, Salary Adjustment, or Title Change, complete. appropriate information below.): -

- . Position Title Gross Annual Salary*

Clerical Assistant . 7 GOS

_ *If employee i is a civil service annuitant {includes U.S. House-of Representatives), the gross annual salary shown should include the annuity received by the employee :
plus the salary received from the employing office. .

(If Committee Employee, complete appropriate item below.)

1. O Standing Committee: Staff—O Clerical or 0 Professional. . 8 -- - se ; ;

\
2. El Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res 255. of 3 23 Stl ongress. : \
3. O Joint Committee. 4
(If Employee of an Officer of the House, complete item below... ©. oe LenS
Position Number___.__ = If applicable, Level________ Step__.
1 certify that this authorization is not in violation of 5 USS. C. 31 10(b), prohibiting the employment ‘of.
relatives. eget”
| a hoon a
Date. March 14, 1978 | SO a eens
‘ i en : (Signature of. Authorizing Official)
Oo" ees BPOKES
(lf appropriate, signature of Subcommittee Chairman or Ranking Minority Member)... -- a oe or print nome of Authorizing Oficial) = stCS
" Chairman
ee (Type or print name and title of above official) = a
mo ee a ee ee ee ne ee ee ee ee en en ee ee ne ee ee - 4
. All appointments and salary adjustments for employees. under the House:Classification Act.and-for Committee em- 3
pléyees, except those of the Committee on-Appropriations, the: Committee on the- Budget, and the Joint Committees, must: \
be approved by the Committee on House Administration. . \
APPROVED: wee ee _ |
Chairman, Committee on House Administration ; .

Office of Finance use only:

Office Code

{Revised: August 1, 1977) .

W 88326 | FO po
ocld:32244103 Page 6 : vo ; 7


PAYROLL AUTHORIZATION FORM
‘(Please Use Typewriter st U. S: HOUSE OF - REPRESENTATIVES: _- (Any erasures, corrections, or changes

or Ballpoint Pen) Washington, D.C. 20515 - on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Effective Date

Uscenber 1, 1977
Type: of Action

~. Employee Name (First-Middle-Last)

O Appointment
RE) Salary Adjustment

Employing Office or Committee/Subcommittee __- &E] Title Change ~
_ . . OD Termination (Ai close of business on effective date)
ASSassinations . Ci Leave without pay (Beginning with effective date above and ending
ae close of business... $=» > _-_ ee )

Specify Date

- (If type: of action is an Appointment, Salary Adjustment, ‘or Title Change,-complete cppropriate’ information below.). :

Oe Position Title . Gross Annual Salary *

Clerical Assis teat Sit, 000

* If employee is a civil service-annuitant (includes:U.S.- House of: Representatives), the gross annual ‘salary shown should include the annuity received by the employee
plus the salary received from the employing office. : ,

(If Committee Employee, complete appropriate item below.)

a. Oo Standing Committee: Staff—O] Clerical or 0 Professional.

2.3G1 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res£&5__ 5 __of 958Congress.-
3. O Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number__.-__ If applicable, Level

| certify that this authorization is not in violation of 5 USC. 3110(b), pronipiting the employment of.
relatives. : Le

“(Signature of Authorizing Official)

; Bo or print name of Authorizing Official}

*

a "chat FE,

(Type or print name and title of above official) re (Title If Member, District and State)

All-appointments and:salary adjustments for employees under the House Classification Act and for Committee em- °°

ployees, except those of the Committee on Appropriations, the: Committee on the Budget, and-the Joint Committees, ‘must’
be approved by the Committee on House Administration.

APPROVED:

Office of Finance use only:

_ Office Code

» . Copy. for Initiating Office or Committee

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EEE IED EIEIO:

PAYROLL AUTHORIZATION FORM. ee 7

_ (Please Use Typewriter i -US. HOUSE- OF REPRESENTATIVES « ) (Any erasures, corrections, or changes .

c on_this form must. be™ initialed by the
...-or Ballpoint. Pen) Washington, D.C.. 20515 soot orizing” otticial.) aaa -

7

To the Clerk of the House of reprosintatves

| hereby authorize the following payroll, action:

~ Effective Date

MET?

a ASA i
Se GOau [2] Appointment

L) Salory Adjustment

(] Termination (At close of business on effective date)

- (If Committee Employee, complete appropriate item below.) . “ oe *
1. [_] Standing Committee: Staff—[_] Clerical or [_] Professional.» ; 4
; 2. &) Special or Select Committee: Authority— +H. Res ABS. ofSEP Congress. , oS mT
. 3. L_] Joint Committee. 7 .
(if Employee of an Officer of the House, complete item below.) oo Coe -

Position Number If applicable, Level _

oI cértify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment ‘of

relatives. . ;
Date ( August 1 19 i? | ¢
! : ~ (Signature of Authoriziog Official)
Louis Stokes
eee ype or | prin nome of Authorizing Official) ~—SOStSC~CS~S oo
s _ Caatrnan

/ 5 (Title-If Member, District and State)

All appointments and salary adjustments for employees under the-House Classification Act and for Committee. em-.
~~ ployees, except those. of the Committee ‘on Appropriations; the Committee on the Budget, and the~Joint Committees, must ~*
be approved by the Committee on House Administration. ; . ; mo . ‘

oan _ , ; ° . 3

APPROVED:

\ : Chairman, Committee on House Administration

~~ > - : . +

| Office of Finance use only:

Office Coder.

. ; : . . :
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aod

MEMORANDUM

TO: ALL STAFF
RE: Payroll Certification

The Regulations and Accounting Procedures for A Uowances and

Expenses of Committe ses, Members and Employees of the Ws. House of

Representatives Pr senate ane can tattnte aiaen i mt eeainnsle ne ante etednere ene yamantere teeter ntmtereme Amy nee

Representatives require that, among other things, the ¢ Coan Etec” 5
monthly payroll certification include the relationship, if any, of |
each employee to any current Member of Congress. This certification

is signed monthly. by our Chairman.

The following are the relationships to be included in the
certification: 7 . oe

father _ nephew — _ brother-in-law
mother niece. - sister-in-law
son husband ~ stepfather |
daughter wife stepmotner |
brother : - father-in-law stepbrother
sister mother-in-law stepsister
uncle son-in-law - ~ half-brother

aunt -- daughter-in-law =. half-sister
first cousin . a

Please complete the appropriate portion below, sign and date

| this form, which will then. become a part of your permanent pers sonnel
| file. If this status changes, you must notify th the Committee's Budget

 Uffice immediately of the change.

/./ 1 am related to a current (95th Congress) Member of Congress.

ater enenrtnn tannin tet lente ot tn ts AN

Signature of Employee

[S am not related to any current (95th Congress) Member of Congress.

| Nw 88326 ee
ocld:32244103 Page 9 : Cos ;


